<span class="close" style="position: absolute; margin-left: 435px; top: 5px; cursor: pointer; pointer: hand; z-index:200;" onClick="cache('mod');cache('arbo');"><img src="images/close.gif" alt="[x]" /></span>
<div id="modRadio" style="width:895px;">
	<div id="handMod" class="titreForm">Enqu&ecirc;te <mx:text id="nomEnquete" /></div>
	<div class="corpForm">
		<table>
		<tr>
		<td>
		<form method="post" action="index.php">
			<fieldset>
                                <legend>Identit&eacute;</legend>
				<table>
					<tr>
                                                        <td class="titre" style="width: 100px; text-align: right; font-weight: bold;">Radiologue</td>
                                                        <td class="info" style="text-align: left; vertical-align: middle;"><mx:select id="listeMedecins" /></td>
					</tr>
				</table>
			</fieldset>
	                <fieldset>
		                <legend>Questionnaire qualit&eacute;</legend>
	                        <table summary="Formulaire">
					<tr>
						<td></td>
						<td>Oui</td>
						<td>Non</td>
					</tr>
					<mx:bloc id="question">
					<tr>
						<td class="titre" style="width: <mx:text id="width" />px; text-align: right; font-weight: bold;"><mx:text id="question" /></td>
	        	                        <td class="info" style="vertical-align: middle;"><mx:checker id="oui" /></td>
						<td class="info" style="vertical-align: middle;"><mx:checker id="non" /></td>
					</tr>
					</mx:bloc id="question">
	                        </table>
			</fieldset>
			<fieldset>
                                <legend>Diagnostic radio</legend>
                                <table summary="Formulaire">
					<textarea name="radiologuediagradio" style="width:545px;"><mx:text id="radiologuediagradio" /></textarea>
                                </table>
                        </fieldset>
			<mx:hidden id="hidden" />
			<br/>
			<input type="submit" name="Valider" value="Valider" />
		</form>
		</td>
		<td style="vertical-align:top; text-align: left;">
			<fieldset style="width:260px;">
                                <legend>Urgentiste</legend>
				<br/>
                                <b>Indication :</b> <mx:text id="indication" /><br/><br/>
				<b>Il cherche :</b> <mx:text id="recherche" /><br/><br/>
				<b>Qualit&eacute; du clich&eacute; :</b> <mx:text id="qualite" /><br/><br/>
				<b>Interpr&eacute;table :</b> <mx:text id="interpretable" /><br/><br/>
				<b>Impact conduite diagnostic :</b> <mx:text id="impactdiag" /><br/><br/>
				<b>Impact conduite th&eacute;rapeutique :</b> <mx:text id="impactthera" /><br/><br/>
				<b>Diagnostic radiologique :</b> <mx:text id="diagradio" /><br/><br/>
                        </fieldset>
		</td>
		</tr>
		</table>
        </div>
</div>
<div id="debug">
</div>
